Death Certificate - Collins, Walter C_2/2/1984. - ---- ----.� y�� --- -�- -- - - � �- � � • - ---
ItECORD OF DEATH
GIP,SON COUNTY ll�PARTMENT OF HCALTH
PitIIQCEI'ON, INDIANA
�,;
1'IIIS IS TO CERTIFY, that our records sho«• WALTER C. COId,INS died
2�3�Z_.�at 10:20AM Gib. Gen.Hosp. Princeton, Ind. _
month day year liour of death street, hospitnl, rurol
Age at Death 61 �e•� Male Color �itehqarital Status— H'larried
_ years . � write wheUer married nr singlr.
I'rimary casuse of death given was Cerebral vascular accident �___ _
Signed hr��- R,_t�e11s, M-D- princeton. Ind': -'
phys;cian or coroncr - addrcss
Plnce'ofburial_orremovaL- � ' �Fairview Vincennes, Ind,; . .
� ' �'nnme� of cemetery add��ess: .
Dateof burial 2�6/79 Colvin F. H. Princeton, Ind.
F1�neral Direc[or
SEAL
address
/j �° % /
�-�J �r- �.�; =� G. ��=�:�� �.�
Signed /
Gibson County Health Co ' ioner
Oakland t;ity, Ind. 2/8/79
addiess
Recorded locally in book No. 9 �age No. 77 F'iled:—_ Z�g�79
date